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Breath of Life Dance Team (BOLD)
Dancer Contact Information
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First Name: *
Last Name: *
Gender *
Dancer's Phone Number: (if applicable)
Address of Residence: *
Street, City, Zip
Phone # of Residence: *
Primary Contact for Scheduling (at place of residence): *
In order to update and inform of upcoming performances, the primary contact will receive an email and phone call.             A reminder email will be sent the day before any performances.
Primary Contact Phone: *
Primary Contact Email: *
Parent/Guardian Name: *
Parent/Guardian Phone: *
Parent/Guardian Email:
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